HomeMy WebLinkAboutVJ Engineering/Deer Creek Dev - Sewage Treatment Agmnt-1/2/2018Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
Sewage Treatment Agreement
INSTRUCTIONS
This agreement must be executed for all projects where construction and sewage treatment will be provided by different parties;
i.e., a private subdivision connecting to a municipal system. This agreement must be executed by the parties who are owners at the
time the permit is issued, regardless of whether title to the proposed construction project will be transferred after completion of the
project.
This agreement is not necessary when a contract for sewage treatment already exists; i.e., service contracts between municipalities.
However, the Department of Natural Resources must be informed in writing that the contractual agreement does exist.
APPLICANT
Owner: Deer Creek Development, LLC
ENGINEER
Firm: VJ Engineering
Address: 643 Griffith Road, Waterloo, IA 50701
1501 Technology Parkway, Ste. 100
Address: Cedar Falls, IA 50613
Representative: Harold Youngblut
Project Officer: Bruce P. Radue, P.E.
Phone Number: 319-269-4081
Phone Number: 319-266-5829
Project Identification: Greenbelt Centre Plat No. 8
Owner and System Receiving Wastes: City of Waterloo
CERTIFICATION
I am the authorized representative of the owner identified above and
constructed in accordance with the plans and specifications and all
syst m id n lied a ove.
state that the proposed sanitary sewage facilities shall be
wastes contributed by this project shall be discharged to the
Managing Partner Date 0/
gg
::::::tJ D' Title:
t '
AGREEMENT TO PROVIDE SEWAGE TREATMENT
am the authorized repres tative of the owner of the system identified above and state that the connection of the proposed
sanitary sewage facilities identified above is approved by the owner, and that the owner accepts responsibility for providing
adequate treatment of all wastes contributed by this project, in accordance with the provisions of Chapter 455B, Code of Iowa, and
the rules of the Department of Natural Resources. This agreement shall be construed in any way to affect any local ordinances,
sewer service agreements, or fee systems entered into between the parties.
Name: Q YN.�-1r-N —i -1 -C -V3— Title:k.`Ut'Z--
Signature Date I 1 2-/ } 8 Phone:
11/2015 cmc
DNR Form 542-3219; 29
Exhibit 11A
Iowa Department of Natural Resources Wastewater Engineering Section
Construction Permit Application
SCHEDULE A. General Information
APPLICANT
ENGINEER
OWNER E-MAIL ADDRESS
Deer Creek Development, LLC five4me@aol.com
FIRM E-MAIL ADDRESS
VJ Engineering bradue@vjengineering.com
ADDRESS
643 Griffith Road, Waterloo, IA 50701
ADDRESS
1501 Technology Parkway, Ste. 100, Cedar Falls, IA 50613
REPRESENTATIVE TELEPHONE
Harold Youngblut (319) 269-4081
PROJECT OFFICER TELEPHONE
Bruce P. Radue (319) 266-5829
PROJECT IDENTIFICATION
Greenbelt Centre Plat No. 8
ESTIMATED START DATE *
6/15/17
ESTIMATED COMPLETION DATE
9/30/17
PLEASE RESPOND TO ALL QUESTIONS YES
1. Has an engineering report, facilities plan or other information previously been submitted for this project? ❑
NO
/2
If Yes=>
PROJECT IDENTITY
DATE SUBMITTED
2. Does the project and construction permit application, as submitted, follow the recommendations, design
loadings, construction schedule, permit limits, and conclusions of the approved engineering report or
facilities plan?
If No=> Provide the design basis and technical information justifying all changes.
3. Are there three complete sets of plans and specifications accompanying this application?
For a minor gravity sewer extension within the meaning of 455B.183.3 Code of Iowa and Design
Standard 11.1, two complete sets will be adequate for expeditious approval. For more complex projects,
three sets of plans and specifications may be requested.
4. Are approved standard specifications a part of this application?
❑
❑
❑
❑
If Yes=>
APPROVED STANDARD SPECIFICATIONS OF
(municipality or firm)
City of Waterloo
DATE APPROVED
5. Does each set of plans and specifications or engineering report accompanying this application contain a
"professional engineering seal" executed in conformance with 542B.16, Code of Iowa?
If No=> Processing will be delayed pending receipt of applicable design schedules and certified plans,
specifications or engineering report.
6. Is this a joint wastewater and water supply project?
If Yes=> A construction permit application for the water supply project should be submitted separately to the
Water Supply Section. A water supply permit fee may be required.
7. Is the applicant to provide treatment of effluent resulting from this construction?
If No=> A Sewage Treatment Agreement (DNR Form 29) executed by the authority providing treatment must
accompany this application.
8. Is a new or amended operation permit necessary to use the facilities described in this application?
If Yes=> A new or amended permit to operate may be requested prior to the receipt of a construction permit.
9. Is any waterline located within 10 feet; or any private or public well, lake, or public recreation area located
within 400 feet of the proposed construction?
If Yes=> Identify and locate the facility(s) relative to the proposed construction.
10. Will construction inspection be conducted by a licensed engineer employed by the applicant?
❑
❑
❑
❑
I
❑
��
►�
14
❑
If No=>
NAME OF ENGINEERING FIRM CONDUCTING INSPECTION
11. Will this project utilize CWSRF loan funds? ❑
i4
CERTIFICATION
APPLICANT
I certify that I am the authorized representative of the owner and
state that the project identified above is approved by the owner.
ENGINEER
I certify that all aspects of design included in this application
conform to applicable standards contained in Chapter 567 IAC
64, or that an explanation and justification for any proposed
variations from such standards is attached. I am familiar with the
information contained in this application, and to the best of my
knowledge, such information is complete and accurate.
S[GNA URE I DATE
ichU670 r -,1)k Ws -Mc/ 7
SIGNATURE DATE
L-4,,,_/- ,&,,Z..,-- o---2-4--,-/-7
* Estimated C u on Start Date: Complete applications must be submitted at least 120 days in advance of the date for
starting co s uc 'n in accordance with Rules 567 IAC 60.4 and 64.2
PLEASE COMPLETE THE SCHEDULE CHECKLIST ON THE FOLLOWING PAGE OF THIS FORM
DNR form 28A (Sept 2010)
542-3129
Construction Permit Application
SCHEDULE A, General Information, page 2
SCHEDULE
B
C
D
E
F
G
141
H2
113
J
KI
K2
K3
L
M
N
O
P
Q
RI
R2(A & B)
R3
S
Identify, all categories
TITLE
Collection system
DOCUMENT CHECKLIST
included in this project. Also, identify schedules attached to this ap
INCLUDED IN
ATTACHED PROJECT
0
Lateral Sewer Extension
Trunk & Interceptor Sewer
Wastewater Pump Station
Treatment Project Site Selection
Treatment Project Design Data
Schematic Flow Diagram
Treatment Process Loading and
Removal Efficiency
Mechanical Plant Reliability
Screening, Grit Removal and Flow
Measurement
Septic Tank System
Controlled Discharge Pond
Aerated Pond
Anaerobic Lagoon
Setting Tanks
Fixed Film Reactor — Stationary Media
Rotating Biological Contactor
Aeration Tanks or Basins
Gas Chlorination
Sludge Digestion and Holding
Sludge Dewatering and Disposal
Low Rate Land Application of Sludge
Land Application of Sewage Sludge
(To be developed)
Land Application of Wastewater
(To be developed)
Sewage Treatment Agreement
plication.
SUBMITTAL
DATE
Identify any categories included in this project which are not provided in the above list of schedules.
DNR form28A (Sept 2010)
542-3129
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE B, Collection System
DNR USE ONLY
Project No.
Permit No.
Date Prepared
5/16/17
Date Revised
Project Identity
Greenbelt Centre Plat No. 8
1. Identify proposed construction which is subject to flooding and explain what is proposed to prevent water from entering the
system. If no portion is subject to flooding, state none.
Segment
All
Flooding Protection
Elevated manhole tops to above 100 -year flood elevation
*2. Indicate hydraulic capacity of: 1) the nearest downstream main or interceptor; 2) the nearest downstream lift station; and 3) all
downstream segments where flow restriction may occur. Indicate the source and accuracy of numerical data.
Segment Segment Segment
Location
Design Capacity, MGD
Peak Hourly Dry weather Flow MGD (actual)
Peak Hourly Wet weather Flow MGD (actual)
30" NE1/4,
Lift NE1/4,
24.53
Sec. 6-88-13
Sec. 6-88-13
48,000+
13.0
2.0
0.2
0.2
0.6
0.6
*3. Identify treatment facility, the design loadings and present raw waste loadings. Indicate source and accuracy of numerical data.
Waterloo Water Pollution Control Plant, Iowa No. 079001, Fed. No.
Facility Name and Number 0042650
Facility Loading
Design
Average Wet Weather (actual)
Peak Hourly Wet Weather (actual)
MGD
#BODS/day
34.8
88,000
24.53
31,500
60+
48,000+
Provide projected design loading increase, which will be added to this facility as a result of this project.
Design Loading
Initial
Design Year (2020)
Residential Service Area Acres Acres
Population Persons Persons
Flow (100 GPCD) GPD GPD
BODs(0.17/#/d/cap) #/day .#/day
Industrial Service Area Acres Acres
Rated Flow GPD GPD
BODS #/day #/day
Other Commercial 5 Acres 11 Acres
Rated Flow 27,500 GPD 60,500 GPD
BODS 47.5 #/day 103 #/day
Total BODS 47.5 #/day 103 #/day
Total Flow 27,500 GPD 60,500 GPD
Peak Hourly Flow 110,000 GPD 242,000 GPD
*Include a written explanation of items 2 and 3 if the sewer system and/or treatment facility are overloaded.
11/2015 cmc DNR Form 542-3095; 288
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE C, Lateral Sewer Extension
DNR USE ONLY
Project No.
Permit No.
Date Prepared
5/16/17
Date Revised
Project Identity
Greenbelt Centre Plat No. 8
1. Design Basis
Residential Service Area
Population
Flow (100 GPCD)
80D5 (0.17/#/d/cap)
Industrial Service Area
Rated Flow
BODS
Other Commercial
Initial
Design Year (2020)
Acres Acres
Persons Persons
GPD GPD
#/day #/day
Acres Acres
GPD GPD
#/day #/day
5 Acres 11 Acres
Rated Flow 27,500 GPD 60,500 GPD
BOD5 47.5 #/day 103 ft/day
Total BOD5 47.5 #/day 103 #/day
Total Flow 27,500 GPD 60,500 GPD
Peak Hourly Flow 110,000 GPD 242,000 GPD
2. Pipe Diameter 8 Inch 10 Inch 12 Inch
Material PVC Truss
Joint Elastomeric
Minimum Slope 0.40
Maximum Manhole Space 400 ft. ft. ft.
Total Sewer Length 943 ft. ft. ft.
Maximum Cover 10.1 ft. ft. ft.
Minimum Cover 7.2 ft. ft. ft.
3. Construction specifications (indicate ASTM Number or other standard included in the specifications). A brief description is
required in each part.
A. Bedding class ASTM Class II, 02321-75 except as modified by ASTM D2680-01
B. Pipe laying ASTM D2321-75 except as modified by ASTM 02680-01
C. Compaction 95% Standard Proctor Density
D. Manhole ASTM C478, 48" dia.
E. Specified maximum infiltration/exfiltration rate 200 GPDPMPI
F. Infiltration/exfiltration test procedures v -notch weir, televising, or air test
G. Alignment & grade test procedures
(1) During construction Stake & batterboard Yes Laser Yes
(2) After construction Lamping Yes Other Televising
H. Deflection test procedures NA
4. Are detailed manhole drawings included: ❑ Yes Z No Typical frame and cover assembly Neenah R-1642
Are manhole covers nonvented: ® Yes ❑ No Manhole diameter 48 in.
Manhole opening diameter 24 In Material Concrete
5. Minimum sewer & water main separation: Horizontal 10 ft. Vertical 18 in.
Are specifications included No
6. Stream, road, or railroad crossing protection NA
Are specifications included NA
11/2015 cmc
DNR Form 542-3096; 28C